TexasEnergy

Navigant Consulting, Inc. (NYSE: NCI) is a specialized, global professional services firm that helps clients take control of their future. Navigant’s professionals apply deep industry knowledge, substantive technical expertise, and an enterprising approach to help clients build, manage and/or protect their business interests. With a focus on markets and clients facing transformational change and significant regulatory or legal pressures, the Firm primarily serves clients in the healthcare, energy and financial services industries. Across a range of advisory, consulting, outsourcing, and technology/analytics services, Navigant’s practitioners bring sharp insight that pinpoints opportunities and delivers powerful results. More information about Navigant can be found at navigant.com.

Navigant Cymetrix unites the strengths of four category-leading companies to address the complexities of today’s healthcare system. We design, develop and implement integrated, patient-centered solutions for sustained improvements in performance and profitability, working collaboratively across a spectrum of customers that encompasses hospitals, health systems, physician practice groups and payers.

The Patient Access Team Lead is responsible for customer service, accurate registrations, accurate insurance, Point of Service Collections, Authorization/Pre-Certification, Uninsured Discounts, Education/competency. This includes:

Customer Service: Ensures that all patients with a satisfying registration experience and are provided with choices, options and counseling to assist them in making their healthcare decisions.

Uninsured Discounts- Aware of patients who qualify for uninsured discount are provided with cash quotes and addresses any Financial Counseling is provided for qualifying linkage programs are provided.

Education/Competency: Assists in education needed to maintain compliance according to HIPPA, EMTALA and all governmental regulations.

The Patient Access Team Lead supports an effective department that achieves positive financial impact for the organization along with adhering to joint commission standards (JCAHO) and EMTALA guidelines. This position will perform any and all related job duties.

Essential Job Functions

Demonstrates an advanced knowledge of insurances, including eligibility, benefit coverage, authorization/pre-certification and other relevant information.

Provides interface between admitting and medical staff, patients and other departments.

Demonstrates proficiency and expertise with various uninsured patient linage programs.

Provides interface between admitting and medical staff, patients and other departments.

Maintains and manages a professional staff to achieve effective delivery of services

Assists Admitting Supervisor in coordinating area functions for the clinical and administrative staff as a whole

Assurance/ Quality Control program

Duties and Responsibilities

Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations.

Assists in training new team members and assists in department orientation sessions related to department processes and communicates with Supervisors of any training needs of coworkers in order to maintain knowledge base levels of staff.

Ensures all reports assigned are completed on a daily basis including reports from the graveyard shifts and handed off to Day Crew for completion.

Coordinates and assists other staff in ensuring that all patients are registered in a timely manner in the area assigned.

Ensures that all staff adhere to break schedule, providing coverage for the area as needed in order to comply with Meal Period policies.

Reviews and assigns daily work desk assignments for staff according to the area duties and schedule.

Ensures all area team members are knowledgeable and maintain competency and adheres to all procedures within the Daily Deposit and Safe Policy and Procedure and participates in the daily rotation duty.

Monitors and assists in collections of co-pays/deductibles based on insurance eligibility information and/or EMC uninsured Cash Discount quotes for emergency and outpatient services.

Communicates daily with Supervisors and new shift Leads, regarding previous shifts status reports and any areas needing to be addressed.

Develops and discusses with area Supervisor any opportunities to improve daily processes and problem solves according to the situation.

Reviews and maintains daily Nextel sign out logs, ensures that all phones are accounted for and charged for next shift usage.

Attends and participates in all staff meetings, reviews department schedule to assist in coverage for all department staff to attend.

Maintains open communication with all co-workers, physicians, other Hospital Departments and works to improve interdepartmental relationships.

Demonstrates a professional attitude with co-workers and physicians and maintains a productive work environment within the department at all times.

Responsible for ensuring that all equipment is working properly and maintaining the Equipment log of any failed equipment that has been called into 8585 and a trouble ticket has been issued.

Acts as Supervisor – On Duty when area Supervisor is not available.

Is not responsible for disciplinary counseling.

Participates on special committees or projects as assigned.

High School Diploma required, BA / BS Degree preferred.

Minimum of 1 year healthcare(Admitting experience) or outsource supervision, or 2-3 years other supervisory-leadership experience.

Navigant will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.